| NPI | 1629411608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 20A20682) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL OS14768) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2023-06-14 |